South Dakota Medicaid requires periodic in-person visits for ABA and therapy telehealth

South Dakota Medicaid imposes in-person requirements on specific telehealth services: Applied Behavior Analysis and therapy require an in-person face-to-face visit within the first 30 days and again every 90 days, and remote patient monitoring is limited to established patients. This affects families and patients receiving behavioral therapy via telehealth, who must travel for periodic in-person visits to keep coverage, a meaningful barrier for rural patients far from in-person sites.

Source: Center for Connected Health Policy (CCHP), South Dakota state telehealth page (2026).